Crum, Jerry Dean

Crum, Jerry Dean is an individual health care provider with primary practice located at 600 Nw 11Th St Suite E19, Hermiston OR 97838-8605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Crum, Jerry Dean can be contacted via phone (541) 289-7171.

Contact Information

Primary practice address
600 Nw 11Th St Suite E19 Hermiston OR 97838-8605
Phone: (541) 289-7171
Fax: (541) 289-7172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G87585 California

Profile Details

NPI number 1265496152
LBN Legal business name Crum, Jerry Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 7th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265496152 NPPES
Oregon Other 461055178 TAX ID#

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